Tıp Fakültesi / Faculty of Medicine
Permanent URI for this collectionhttps://hdl.handle.net/11727/1403
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Item A Study Which Investigates the Relationship of Age, Trunk Strength, and Balance Parameters with Fall Risk(2016) Sencan, Savas; Ayas, Sehri; Saracgil Cosar, Sacide Nur; 0000-0002-5078-6529; AAJ-7520-2021Introduction: Age-related neural and sensory deteriorations and decline of the musculoskeletal systems affect balance and increase the risk of fall. Our objective in this study is to determine how balance and the risk of fall are affected by increasing age, and search the role of trunk muscle strength on balance. Materials and Method: A total of 90 female voluntary participants were divided into the age groups of 20-39, 40-59 and >= 60 years (n = 30 for each group). Static balance abilities and the fall risks of the subjects were determined using a computer-aided static posturography device and their trunk muscle strength at 60 degrees/s and 120 degrees/s were assessed using the isokinetic dynamometer equipment. Results: When the 20-39 age groups are compared with 40-59 and 3 60 age groups regarding the balance measurements, higher index values at low and medium frequency oscillations were detected. Assessment of the correlation between age and Fourier indexes showed that more balance scores were found to deteriorate with increasing age. The deterioration in the balance parameters was observed to be correlated with the trunk flexor and extensor muscle strength, reducing with increasing age. Conclusion: It was determined that static balance parameters tend to deteriorate and the risk of falls increases with increasing age. The decreasing trunk muscle strength was found to be related to the decline in balance ability and an increased risk of falling.Item Scapular Winging Secondary to Iatrogenic Spinal Accessory Nerve Lesions(2021) Ozen, Selin; Cosar, Sacide Nur Saracgil; Afsar, Sevgi Lkbali; Ayas, Sehri; 0000-0002-7290-8558; 34500533; ABC-1305-2020Motor innervation of trapezius and sternocleidomastoid (SCM) muscles is provided solely by the spinal accessory nerve (SAN). SAN palsy most often occurs as a result of iatrogenic injury to the nerve. A patient, who had undergone neck dissection for thyroid cancer, presented with pain and reduced range of motion of the shoulders. Electroneuromyography revealed denervation of the trapezii and SCM muscles secondary to SAN injury. The patient was treated with a course of physical therapy (PT). This case reminds us that a SAN lesion should be considered in the differential diagnosis of a patient presenting with shoulder pain following surgery of the neck. Even though unilateral SAN injury can eventually lead to atrophy of the trapezius, muscle asymmetry may not be obvious, especially in bilateral iatrogenic SAN injuries. In our experience, these patients benefit from PT. However, evidence to support the use of PT in the treatment of shoulder dysfunction secondary to SAN injury is insufficient; the optimum type and timing of PT requires further investigation. Development of best-practice guidelines in terms of management is necessary.Item Quantitative Data for Transcutaneous Electrical Nerve Stimulation and Acupuncture Effectiveness in Treatment of Fibromyalgia Syndrome(2019) Yueksel, Merve; Ayas, Sehri; Cabioglu, Mehmet Tugrul; Yilmaz, Derya; Cabioglu, Cagri; 0000-0002-1903-7132; 0000-0002-5078-6529; 30949223Aim. To evaluate the effects of acupuncture and transcutaneous electric nerve stimulation (TENS) applications on the quantitative electroencephalography (qEEG) changes and to evaluate their therapeutic effects in patients with fibromyalgia syndrome (FMS). The study included 42 patients with FMS and 21 healthy volunteers. The patients were randomly assigned to two groups (n=21 in each) to undergo either TENS or acupuncture application. In both acupuncture and TENS groups, baseline electroencephalography (EEG) recording was performed for 10min and, then, TENS or acupuncture was performed for 20min, followed by another 10min EEG recording. Baseline qEEG findings of FMS patients in the TENS and acupuncture groups were similar. Delta and theta powers over the frontal region of FMS patients were lower than controls. Theta powers of right posterior region were also lower than controls. In the TENS group, after the treatment, an increase was observed in the alpha power of the left anterior region as well as a decrease in pain scores. In the acupuncture group, an increase was determined in the alpha power of the right and left posterior regions as well as a decrease in pain score after the treatment. The power of low- and moderate-frequency waves on resting EEG was decreased in the patients with FMS. Decreased pain and increased inhibitor activity were found on qEEG after TENS and acupuncture applications. In conclusion, both TENS and acupuncture applications seem to be beneficial in FMS patients.Item Ulnar Nerve Conduction Abnormalities in Turkish Taxi Drivers(2014) Afsar, Sevgi Ikbali; Cetin, Nuri; Ayas, Sehri; Mumcu, Gamze Akin; Karatas, MetinObjectives: This study aims to investigate the presence of ulnar entrapment neuropathy at the elbow in taxi drivers, and possible relationship between ulnar entrapment neuropathy and habitually leaning the left elbow on the lower edge of the window. Patients and methods: The study was performed between December 2008 and February 2009 in Ankara and included 40 male taxi drivers (mean age 35.5 +/- 7.3 years; range 25 to 54 years) and 40 healthy male controls (mean age 33.6 +/- 6.1 years; range 25 to 54 years). Nerve conduction studies were performed on both upper limbs of all participants. Results: Left side motor and sensory nerve conduction velocities at the elbow segment of the ulnar nerve were significantly decreased, while F latency of the ulnar nerve was significantly prolonged in taxi drivers. Motor and sensory conduction velocity over both left and right ulnar nerve at the elbow segment were significantly decreased, while F latency of the ulnar nerve was significantly prolonged in the taxi drivers compared to the control group. Ulnar nerve conduction parameters and F latency on both sides were statistically similar in the non-leaning group of taxi drivers; however, motor and sensory conduction studies over the left side of the ulnar nerve elbow segment were slower and F latency was longer in the leaning group of taxi drivers, compared to the right side and to the non-leaning group of taxi drivers. Conclusion: Prolonged elbow flexion and habitually leaning the left elbow may cause electrodiagnostically diagnosed ulnar entrapment neuropathy in taxi drivers.